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Six Alchemy

Animal Reiki Client Intake Form

In the space above, please provide the type of animal to receive the Reiki session (dog, cat, horse, bird etc) and the name of the animal:

Please provide above the name of the animal's vet:

Please provide above a contact number for the animal's vet:

Why would you like your animal to receive Reiki sessions?

Please list above any medications and/or treatment that your animal is currently receiving:

Please describe what a typical day looks like for your animal. Please include the times they sleep, activity (including types, location and duration, contact with other animals, food type and amounts as well as the time they spend with you:

 Reiki + Holistic Wellness 

 

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Six Alchemy ® Limited
Company Registration Number: 15822695

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